Gertz, Laura S

Gertz, Laura S is an individual health care provider with primary practice located at 16985 W Bluemound Rd , Brookfield WI 53005-5909. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Gertz, Laura S can be contacted via phone (414) 773-4312.

Contact Information

Primary practice address
16985 W Bluemound Rd Brookfield WI 53005-5909
Phone: (414) 773-4312
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X CC00127 Minnesota
Behavioral Health & Social Service Providers / Professional 101YP2500X 4171-125 Wisconsin
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4171 Wisconsin

Profile Details

NPI number 1689814279
LBN Legal business name Gertz, Laura S
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2009
Last updated Jun 26th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689814279 NPPES
Wisconsin MEDICAID 1689814279

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